Semester 2 Device Request Form
Please complete this form if you would like to request a school device for Semester 2. Please complete 1 form per child.
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Student Name *
Please include legal first and last name.
Teacher Name *
Grade *
Parent/Guardian Name *
Email *
Primary Phone *
Ex. (xxx) xxx-xxxx
Secondary Phone *
Ex. (xxx) xxx-xxxx
Submit
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